J C Molina P a

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10336 Issued in FL

Legal business name

J C MOLINA P A

Doing business as

Sara Home Care

Practice address

29100 S W 172 Ave
Homestead, FL 33030-2528

Phone

(786) 601-7352

Fax

(786) 601-7364

NPI assigned

Mar 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Negui Molina, SECRETARY

Title

Owner-Administrator

Phone

(786) 601-7352

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sara Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1992822423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29100 S W 172 AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330302528",
            "telephone_number": "786-601-7352",
            "fax_number": "786-601-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 S W 172 AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330302528",
            "telephone_number": "786-601-7352",
            "fax_number": "786-601-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C MOLINA P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "NEGUI",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "786-601-7352",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SECRETARY"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142137900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Homestead, FL
• Providers in Homestead, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.